Organization
ROYAL MAYFLOWER INCORPORATION
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
PURITY MUTHONI NGUNYI (PRESIDENT)
(682) 221-6475
Entity
Organization
Contact information
Practice address
4737 N. O'CONNOR RD, 1071, IRVING, TX 75062-2745
(682) 221-6475
Mailing address
4737 N. O'CONNOR RD, 1071, IRVING, TX 75062
(682) 221-6475
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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